<?php
 	echo $this->render('header.phtml');
 	echo $this->render('header_form.phtml');?>
<form name="frm_lost" class="appnitro" method="post" id="SignupForm" action="<?php echo $this->action; ?>" >
<ul>
	    <li>
	   		<div>
	        	<label class="description">E-mail</label>
	        	<input type="text" name="email" id="email" class="element text medium" value="<?php echo $this->email;?>" />
	        	<p class="guidelines"><small>Informar o e-mail utilizado no cadastro.</small></p>
	        </div>
		</li>
		<li>
	   		<div>
	        	<label class="description">Usuário</label>
	        	<input type="text" name="usuario" id="usuario" class="element text medium" value="<?php echo $this->usuario;?>"/>
	        	<p class="guidelines"><small>Informar o usuário utilizado.</small></p>
	        </div>
	    </li>
</ul>
<ul style="width: 100%;">
	    <li style="width: 100%;">
	    	<center><div>
	    		<input id="bt_validar" type="submit" value="Validar">
	    	</div></center>
	    </li>
		<?php if(!empty($this->message)) :?>
			<div id='message'>
				<?php echo $this->escape($this->message);?>
			</div>
  		<?php endif; ?>
</ul>



</div>
</form>
</div>

 <?php echo $this->render('footer.phtml');?>